摘要
目的:探讨独活寄生汤加减联合针灸治疗类风湿性关节炎临床疗效。方法:选取2013年5月-2014年5月南海区第四人民医院就诊的类风湿性关节炎患者65例,随机分为观察组33例,对照组32例。观察两组患者的临床疗效,两组治疗前后主要症状,体征及VAS评分及血沉指标等。结果 :观察组患者的优良率为93.94%,对照组为78.13%,两组比较,差异有统计学意义(P<0.05)。两组患者治疗前后ESR、CRP、RF比较,差异均有统计学意义(P<0.05);而观察组治疗后ESR、CRP、RF数值明显低于对照组,两组比较,差异有统计学意义(P<0.05)。两组患者治疗前后关节疼痛、关节肿胀数、晨僵比较,握力及VAS得分比较,差异均有统计学意义(P<0.05);而观察组关节疼痛、关节肿胀数、晨僵及VAS数值明显低于对照组,差异有统计学意义(P<0.05)。而握力观察组高于对照组,两组比较,差异有统计学意义(P<0.05)。结论:对类风湿性关节炎采用独活寄生汤加减联合针灸治疗,临床疗效显著,安全性高。
Objective To explore the Clinical observation on treating rheumatoid arthritis by Duhuojisheng decoction combined with acupuncture. Methods 65 rheumatoid arthritis patients in our hospital from 2013 May to 2014 May were collected and were randomly divided into the observation group with 33 cases, control group with 32 cases. The clinical observation of two patients of the two groups before and after treatment, the main symptoms, signs and VAS score and erythrocyte sedimentation rate index and adverse reaction were all observed. Results Observation of the excellent and good rate were 93.94 %, 78.13 % in the control group, two groups, significant difference（P〈 0.05）. Comparison of ESR, CRP, RF two groups of patients before and after treatment, a significant difference（P〈 0.05）; and the observation group after treatment, ESR, CRP, RF values are significantly lower than the control group, the difference between the two groups was significant（P〈 0.05）.The two groups before and after treatment in patients with joint pain,joint swelling, morning stiffness, the number of comparison, grip strength and VAS score, a significant difference（P〈 0.05）; and the observation group of joint pain, morning stiffness, swollen joint count, and VAS value was significantly lower than the control group, the difference was statistically significant（P〈 0.05）. Grip strength of observation group was higher than control group, the difference between the two groups was significant（P〈 0.05）. Conclusion Rheumatoid arthritis treated by Duhuojisheng decoction combined with acupuncture therapy has clinical curative effect, high safety, and is worthy of clinical application.
出处
《深圳中西医结合杂志》
2015年第10期47-49,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
独活寄生汤
针灸治疗
类风湿性关节炎
Duhuojisheng decoction
Acupuncture therapy
Rheumatoid arthritis
